Organization
ROBERT D BIRCH DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT D BIRCH D.O. (PHYSICIAN)
(801) 587-3218
Entity
Organization
Contact information
Practice address
501 CHIPETA WAY, SUITE 1214, SALT LAKE CITY, UT 84108-1222
(801) 587-3218
(801) 587-3303
Mailing address
501 CHIPETA WAY, SUITE 1214, SALT LAKE CITY, UT 84108-1222
(801) 587-3218
(801) 547-1929
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
221500441204
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
499422678001
—
UT
Enumeration date
01/30/2012
Last updated
01/30/2012
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